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631- 589 -8100
62. -1 -6
BOX 23
02747
191
IN or
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46
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02747
lo
v E NT OF H H p UTNAM COUNTY DEPAR T E ALTs
D ;I ofi •of Environmental Health Services, Carmel; :N Y `10512.
ft
CERTIFICATE OF.:CO•NSTRUCTION COMPLIANCE FOR_.SEWAGE .DISPOSAL SYSTEM Ua lay
r
••. c .va d r sy ,� - - TOwn Of Village
Bell�'Hollour Road 4 .
Located at ° Section Block
Jerome J. -Hersh 7
Owner ' Lot Job
Jerome J . Hersh 158-T o id Avemue Feels ki 11
Separate Sewerage System bullt',by - Address
15 pp w X262 A 36
Consisting ,of Gal Septic Tank x v F Iineal,Feet;,X Width tren6h
an
R
d overflow tack
Other requirements a
Fum
Water Supply Public 'Supply -From Taff Hyclraul3'c Dr311it�g =Corp:
Private SupPIY Drilled. $y } 7.
1 Wh trld R N' d Bethel "Conn. s:
Address - t
2 story frame ,
Building Type ' No of Bedrooms Date Permit fssuetl
. - Yes. ' ;: 't � +�ae9oe ♦ ®e
Has Erosion Control Been Completed? , \ .m®
certtty that t he systen(s) as listed serving the`abo4e premises were constructed essentially as'- -shown on tf� `t •c�b%fk (copte5 of which are
attached) and. :in accordance with the standards; rules and regulations, plans filed „8nd the ,permit issut �h m�p�;pDepartment of Health.
December `26 1975 ai /J� , x
Date = Certrfted by - P.E. R:A.
] Northridge :'
RyPpekskilrl 1�.Y. 027$46
Address ere�vo:
• 27846 0
`Any person occupying 1premises +served by,the above system(s) shall promptly take such action as may be, wcoprection of-any unsanitary
conditions resulting =from such xApp[ oval of the separate sewerage systemishall become null anil,.vp Q sI ublic, sanitary sewer •becomes
avails
ble and the approval of -3he private, water' supply shall become nutvari old when aupublic waters ec�dMbs, Bitable. Suchr approve Is are
subJect : -to modlflcation'or change when; in thez,Judg f the Co sig of Healt such`rev_o m "I n or'change "is:necessary.
`Date ✓ c'�'/ �O`. By ®i1 Title
-
'1�.L�.��__i�.W L_... �.._- �.._.-_ ��._ �. �f�..._.._-.__-._. �.- ��_.•. �tii�1....._. uv. va .......5._..+.._.��...�..�.i_u L_._�- i.�.,'l- ...u.. �..�..._�
m
Location - Street
2.
Building Type
Block
Lot...
GUARANTY OF SEPARATE SEWAGE-SYSTEM
I represent that I am wholly and completely responsible for the
location, workmanship,.material, construction and . drainage of the sewage
disposal system serving the above described property,.and that it has been
constructed as shown on the approved plan or approved amendment thereto,
and in accordance with the standards, rules and regulations of the Putnam
County Department of Health, and hereby guaranty to the owner, his succes-
sors, heirs or assigns,.to place in good operating condition any part of
said system constructed by me which fails to operate for a period of two
years immediately following the date of initial use of the sewage disposal
system, or any repairs made by me to such system, except where the failure
to operate properly is caused by the willful or negligent act of the occu-
pant of the building utilizing the system.
The undersigned further agrees to accept as conclusive the de-
term�nat_fl�. -:of :,:the. D rector,of_ the - -D:x_ n -o €> v ror ens 1. Heal- tli -,Ser- --
vices Mof the Patriam° Cointy-Departmlent o' _to wYiet`her o'r'no
failure of the system to operate was caused by the willful or negligent
act of the occupant of the building utilizing the sy em.
Dated this day of ° 19 Signatur
Title
If corporation, give name
and address) .
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMPLETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
Division of Environmental Health Services, Putnam County Department of Health
•
:1JELL DRILL ; AS LUG !U\TD SPORT
ounty of
Name 'of PI ace city . a. lag' or Town,r�
Owner ,P . 0 . Add 8 ss utnam xV�,lle
Depth of w'e3�^ Diameter .Yield as 'e 1 d 8' e .,
in. gpm .yes or no
Amt. of casing above- ground below. nd
= rou' ~doll ,seal s $
in / M • } _-F packer, cement, grout
Draw a - 11 .diagram . in t' he- -,spac,e- Pr,6 ided below.. and show. _:'Ale ..depth of
,c .:.sing, the .w: 11 s.: al, kind and. thickness of: fdjrm 1oms.;;penetrated, ',water
Ibearing formations, diameter of drill holes with dotted lines 'and
'casing(s) with--so-1 id, lined fi 7" 4 .... ��
_ �.
'WELL DIA;rRAM FORMATIONS, YETu ,TRAT M REPT' KS
ianeter,: in. epth �ind� thibLmess` and Type of well E
_. , - . -.�.v .._ _ . _ _ . _g -
in ft. if water beariri drill "ingit_�:od" u,�,_ a o. e
Grade Was well dynamite
• 3
40, _ _. .... _PUMPING. -TiraTS. _J
Details #_2
Static, aater
level, el in ft.
j 0- 50 P. 661-ow Trade
i� .. pumping rate'
D j . ayez of Sand 8 In gpm
,.
upp
s8( _ ing level in
4�4C�
55 _ ;
ledge ft, below :trade
ation
_. ;t U st in
T /aaf 7 e
., a n %v cl
Clear X Cloudy 'l.u.rbid
Recommended depth 'of ,pum in
Q�ac%�� well, feet be -low ; ?trade �
60 -195 ,
19 . ° XiW.... ;
W��LLS :IN a N ll ca „ GR1:XBL : '
Vnix wce Of 840.ick Ai;te, Sand Eff. sizo mm
Q�. &, at "e ,......._ _. r Unm.i.d0def -size" ..
W v
Length of screen ft.
Diam. of screen ins
. _2 . yP
50 T e o;f screen : --
t .
Screen Gpenin s x
_ CON %�2TTTS Y�... ......_.
D77 :w a sketch of the - property.
An the back of this sheet- locating Drilling st rt:�d 12/ �9/%7 �:m let:.d1�1'
TZiE 'WIELL Yd:-D S.-;WAGE DISPOSAL SYS. ` _T'S _ ,1
Well /� r , /��-
SITE LOCAMN 60 &-ILff—o- TOWN t —
1'-JTkck (41J-)JI91 YU 0
owpaps NAME PAoNE s ;ey< 5" 2-6 - 39
MAJUNGAOMEriS
9 S ./
APPUcANT
mom flemoroila (Lt., mom cowman.
DATE ///10010 FACRMTVPE PGHD COMPLAMT 0
PROPOSED 1WTALLFA 0 -
ADVAES$ 3 Li,, A r-- Ls, c), R.EWMATM ILCEMSE a
eM%M #nckule a seporaW ZWO Wnding ft hou", W000ft 1koft. 90 841894M WAS within 20D
?M 04 rvOr Ond tM f608"" fA Odd" WW of ON used Vj61M*
NOTE. 11* 002M AM may (4400 sUbmilml of pmpoM *am aw%W pvW@iWW gooendinD on the
nature wW 1, of V* tepay.
I. as owner. to Ahe acnaftm t tao on Mis
T&Lp-
DATE _LL__j
—
1, tho Meofic ordnions of this for" S00c SYSOM rapt it
A
noM
PM&A"Un of ow Ibm po lf*poftw.
2. GiJurAww Oat Suitt repmkaWxd1bvffw Y9 du0W03h6Wit-.q:
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3 avow" Mplit to be perbnr4d in ac=MNAW vft d" dbc4e 0►OMM &W vand"M
ft praomd SSTS r"Wr is =*dpred a boo fk design ow ewm W no WAverAve to ft affmicn of which T-v
%VW fkwmxtkm.
S. Me comWeW woOk iS to be "OkOW 04 Ouftmia0m w do so Im Ww abakwd ftwn *e Deportivem
1 IT
Ile: 9, le: 7
Tme I( —W-7 Stfw2bon Oatt
COPIES..,
PC AP 99ML Rev. 2f07
.
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•
11/18/2008 09 :59 JOHN H HERSH 4 9232242 NO.954 D01
9149232242
11/18/2008- 10:01 9149232242 HUDSON LANDSCAPES PAGE 01
- ...x.�. ... cis1?Vr► _clNrr HEALTH GEPAFYMEN-�T
.. -
_ ooKEWvNiEOMA HEO i :... .,:....�.�...� ....
p S AS -
!'f •
tigrr: �annK i�wMrt+ aril s rprs yyooc� In W aterBtt9d
U ' ~ sam aws camus. W. am= or o r mn r}a Aes. E3-0el"Wed
D ••tom W tL of . Karim W rr 11 Rsvtew
SITE LOCATION u 7'OtAfIV �'tiA w. [e� TUN
OWNS NAME Vero �, e LT He- rs � PHQNE >r �S -SzG - �a � o
MAI LING ADDRE$9 r, A3c. // Hol zo O2 S u. — / &. _ My /D i 1 9
.APPLICANT JGC
Mme. a ArsSen0i0 N.e., owrs•, tenant. *N*u t d
DATE �=- /dLoojo5(...- FAcxr7'v TYPE: PC"D
.? COMPLAINT #
PROPOSED INBT A qcc� —CU l` st" PMONE s Ely-26
d - 6,3 VV
Ao tl s�
3q CoW us AUK
PMMW ( mhWo a sepwraffi sketch brut" the hotel, propeft llnett, all adjacent wills within 200
feet of repair and to It olon IH elatkW g end ptoposed dysWo
NOTE: lbt DWnffsoot.Wild f4400 submillml Of propoeal from gRan,,etl profe6sVW dooendirtp on the
nature and ox - 1 d rise temir.
I, u owner,00roe to mad on this loan
SRSNATURE TITLE d J LAC t DATE
1, the meoc i oir"Altompty with tllo tronditions of this for the 9optic aptom rep it
SIGNATUFIE 'TITLE i"J BATE
_ .. .. . , _ r -V- - iLlte, �pifiirirl7si�� `.L�.�;,•.�,.vrbin:,.:::�_ .. ". . _. _'_ :. •.: ...� ._ .,.._... __.,. :.:.- ...... -- - - - -- ...___�...:.: _ _, ,- ....
1. ProottrMeeflt d arw ToMn fhrrnlr, if agpHeable. - ...... --. - .— . _. _
2. 6ubntieaie0 Of ae (Mist rVPW tiWdh by the, Septic "Mill W4WAW within W days of the rape/.. in dupnoaW SNowi A9:
W 0WWg romp, She Street Name, Tom aid Tax Who number
V, ld 4 at of lt1s WW aompanatlts flea to two axed porrmr
e. System detcrgeer► (e.g., I= get. capmrm spot: tank, eta.h
d. Immrow.teals and ohm* nun+ber
3. System roaeir to be perbripotl In accoramtce vift taw dbo%* proposal and aw dltion9
4. The prooesd SSTS. r"alr is eorisk%M a bast At dair atd ears is nc guM mgfte to th. dwetlnn .a wnLch to
eprtlpjoW NTS rg"W tMlr k"aaW L
S. No cbntpletod work W to be .into outtt dastim m Oo w Iles bmen obWrod from the Dept vtnom
to tans..
Proposer Appro -e4 I>'rapamal oeniea
In eeet nature b 7nte Del l= 9piration 0ute
in
COPIES: PCHU; Owriw; ms=Wr
PC-RP 9SML
Rev. 2/07
..........
F�T
Ns". Vv--V' ON-I XF
34 Columbus Ave Putnam Valley-N.Y. 10579 914-760'-63441,
John Hersh TM 62-1-6 Date. 11/20/08
88 Bell Hollow R.D. License #'1137
Putnam Valley N.Y. 10579 Septic repair
A 1 68.0 B 1 47.0
A 2 123.0 B 2 101.0
A 3 124.6 B 3 103.0
A 4 174.0 B 4 153.0
A 5 132.0 B 5 113.0
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Tv (Shutter Speed)
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Exposure Compensation
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ISO Speed
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ISO Speed
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ISO Speed
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Focal Length
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Focal Length
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White Balance
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White Balance
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White Balance
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File Name
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File Name
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File Name
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ISO Speed,
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ISO Speed
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ISO Speed
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Focal Length
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File Name
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File Name
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ISO Speed
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ISO Speed
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Focal Length
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Focal Length
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White Balance
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White Balance
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